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急性腹痛是无呼吸道症状的新型冠状病毒肺炎的罕见表现：一例报告

Acute Abdomen Is a Rare Presentation of COVID-19 in the Absence of Respiratory Manifestations: A Case Report.

作者信息

Mohamed Abbas A, Alharbi Mohammed, Mohamed Sarah A

机构信息

Department of General Surgery, King Salman Specialty Hospital, Hail, SAU.

Department of Surgery, Al Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

出版信息

Cureus. 2023 Jul 26;15(7):e42518. doi: 10.7759/cureus.42518. eCollection 2023 Jul.

DOI:10.7759/cureus.42518
PMID:37637652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10457470/
Abstract

Mild gastrointestinal symptoms and mild abdominal pain often occur in association with COVID-19. However, acute abdomen and severe abdominal pain warranting urgent surgical treatment are rare. Here we present the case of a 40-year-old man who presented with the clinical picture of a perforated duodenal ulcer. He was eventually found to have COVID-19 and was treated conservatively. In this report, we discuss his course of treatment and review the relevant literature.

摘要

轻度胃肠道症状和轻度腹痛常与新型冠状病毒肺炎（COVID-19）相关。然而，需要紧急手术治疗的急腹症和严重腹痛较为罕见。在此，我们报告一例40岁男性患者，其临床表现为十二指肠溃疡穿孔。最终发现他感染了COVID-19，并接受了保守治疗。在本报告中，我们讨论了他的治疗过程并回顾了相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/151e/10457470/42fafd26ac7d/cureus-0015-00000042518-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/151e/10457470/b7c7d5d1a873/cureus-0015-00000042518-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/151e/10457470/42fafd26ac7d/cureus-0015-00000042518-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/151e/10457470/b7c7d5d1a873/cureus-0015-00000042518-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/151e/10457470/42fafd26ac7d/cureus-0015-00000042518-i02.jpg

相似文献

1
Acute Abdomen Is a Rare Presentation of COVID-19 in the Absence of Respiratory Manifestations: A Case Report.急性腹痛是无呼吸道症状的新型冠状病毒肺炎的罕见表现：一例报告
Cureus. 2023 Jul 26;15(7):e42518. doi: 10.7759/cureus.42518. eCollection 2023 Jul.
2
Acute abdomen -like-presentation associated with SARS-CoV-2 infection.与新型冠状病毒感染相关的急腹症样表现。
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Indian J Pharmacol. 2013 May-Jun;45(3):293-4. doi: 10.4103/0253-7613.111901.
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本文引用的文献

1
Increasing rate of hospitalization for severe peptic ulcer in digestive disease emergencies after the pandemic.大流行后消化疾病急症中严重消化性溃疡住院率增加。
Medicine (Baltimore). 2022 Dec 2;101(48):e31716. doi: 10.1097/MD.0000000000031716.
2
Changes in the Proportion of Gastrointestinal Emergency Endoscopy and Peptic Ulcer Disease During the COVID-19 Pandemic: A Local Retrospective Observational Study From Vietnam.新冠疫情期间胃肠急诊内镜检查和消化性溃疡病比例的变化：来自越南的一项本地回顾性观察研究。
Front Public Health. 2022 Feb 18;10:699321. doi: 10.3389/fpubh.2022.699321. eCollection 2022.
3
Peptic ulcer associated with COVID-19 in Saudi Arabia.
沙特阿拉伯与 COVID-19 相关的消化性溃疡。
Saudi Med J. 2021 Sep;42(9):1036-1040. doi: 10.15537/smj.2021.42.9.20210224.
4
Neurological Manifestations of COVID-19 in Absence of Respiratory Symptoms or Fever.无呼吸道症状或发热情况下新型冠状病毒肺炎的神经表现
Cureus. 2021 Mar 14;13(3):e13887. doi: 10.7759/cureus.13887.
5
Duodenal perforation in a SARS-CoV-2-positive patient with negative PCR results for SARS-CoV-2 in the peritoneal fluid.SARS-CoV-2 阳性患者发生十二指肠穿孔，其腹腔液 SARS-CoV-2PCR 检测结果为阴性。
Eur Rev Med Pharmacol Sci. 2020 Dec;24(23):12516-12521. doi: 10.26355/eurrev_202012_24048.
6
COVID-19 and gastrointestinal symptoms: the dust has not settled yet.新型冠状病毒肺炎与胃肠道症状：尘埃尚未落定。
Expert Rev Gastroenterol Hepatol. 2020 Oct;14(10):877-878. doi: 10.1080/17474124.2020.1801415. Epub 2020 Aug 1.
7
Peptic Ulcer Disease as a Common Cause of Bleeding in Patients with Coronavirus Disease 2019.消化性溃疡病是2019冠状病毒病患者出血的常见原因。
Am J Gastroenterol. 2020 Jul 1;115(7):1139-1140. doi: 10.14309/ajg.0000000000000710.
8
Abdominal Surgery in Patients With COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues.COVID-19 患者的腹部手术：在腹部组织和脂肪组织中检测到 SARS-CoV-2。
Ann Surg. 2020 Sep 1;272(3):e253-e256. doi: 10.1097/SLA.0000000000004165.
9
COVID-19 Digestive System Involvement and Clinical Outcomes in a Large Academic Hospital in Milan, Italy.意大利米兰一家大型学术医院的 COVID-19 消化系统受累和临床结局。
Clin Gastroenterol Hepatol. 2020 Sep;18(10):2366-2368.e3. doi: 10.1016/j.cgh.2020.05.011. Epub 2020 May 11.
10
An Emergency Surgery in Severe Case Infected by COVID-19 With Perforated Duodenal Bulb Ulcer.1例新型冠状病毒肺炎重症合并十二指肠球部溃疡穿孔的急诊手术
Ann Surg. 2020 Jul;272(1):e35-e37. doi: 10.1097/SLA.0000000000003958.